Provider Demographics
NPI:1962417782
Name:RIBBE, CHERI RENAE (AUD)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:RENAE
Last Name:RIBBE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 ALANA DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01534-1178
Mailing Address - Country:US
Mailing Address - Phone:508-887-5624
Mailing Address - Fax:508-887-5624
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-2922
Practice Address - Fax:857-364-6703
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA578231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist